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Report: State Fails In Tobacco Prevention, Cessation Coverage

"The American Lung Association has released a report card for the past six years basically rating tobacco control in the United States," explained Margaret LaCroix, spokesperson for the ALA. "If this was a report card your child brought home to you, you'd be very upset." The American Lung Association's (ALA) annual national "State of Tobacco Control Report Card," which was released last week, has once again pegged a disconcerting trend concerning the prevention and cessation of smoking in the state of Connecticut.

Connecticut received failing grades in two categories — cheap cigarettes prevention and control spending, as well as cessation coverage. Despite the state seemingly taking a giant step forward toward comprehensive tobacco control by originally proposing $12 million for the Tobacco and Health Trust Fund, Gov. M. Jodi Rell now plans to raid that fund and instead transfer the $12 million into the general fund, a move the ALA says is a step in the wrong direction. We're suggesting to the governor and the General Assembly not to raid that $12 million," LaCroix said.

She explained that a state like Connecticut should be spending roughly $43.9 million on tobacco control every year, a figure recommended by the U.S. Center for Disease Control and Prevention. Over the past decade, the state has received more than $1 billion in funds from the landmark Master Settlement Agreement. Yet, virtually none has been spent for the purpose for which it was intended, namely tobacco treatment, according to the ALA.

Connecticut is also one of just six states remaining that does not cover smoking cessation treatment for Medicaid recipients, despite 70 percent of current smokers wanting to quit. "If the state legislature has any notion that they are saving money by not providing comprehensive treatment for smokers who want to quit, their thinking is flawed," said David Hill, chair of the Connecticut Leadership Board, American Lung Association of New England, in a release.

"We know that for ever $1 spent on tobacco prevention and treatment, $14 is saved on health care costs. In a state that has historically prided itself on implementing good public health policy, in the area of tobacco control, we fail. This failure translates into nearly 5,000 deaths in our state each year. Tobacco use is at the heart of a crisis plaguing America's health and economy and it must be a priority for our state leaders," Hill added.

On a positive note Norwalk Hospital has offered a free, inclusive smoking cessation program since the 1970s. Program instructor Beverly Jacob said the initiative helps smokers to deal with the far-ranging effects of withdrawal. "We offer it twice a year, once in the spring and once in the fall, for seven weeks," Jacob said. "Because smoking is so addictive, we just want people to be able to prepare themselves. Some people can just put Buy Cigarettes Online down.

Jacob said the program typically sees a 30 to 35 percent quit rate. It also provides "multiple techniques in assisting smokers interested in quitting," according to Maura Romaine, a spokesperson for Norwalk Hospital, including information provided on nicotine replacement therapy, controlling weight during the quitting process and the health benefits of quitting. Group support and expert counseling are also key aspects of the program, Romaine said.

"As part of our mission to promote wellness for our community, Norwalk Hospital provides a vast assortment of public services — educational programs, support groups, health fairs and screenings — free of charge as a community service," Romaine said. "The smoking cessation program is one of those programs. We want to encourage the members of our community — as much as possible — to take advantage of these offerings that help promote healthy lifestyles. We also see it as part of our commitment to the communities we serve to give back.

Without full funding of more programs like the one offered at Norwalk Hospital, LaCroix said it's difficult to provide the complete treatment necessary — especially the important nicotine replacement therapy — to help smokers quit once and for all. Even with community events like the Great American Smoke-Out hosted by the American Cancer Society, the state of Connecticut is lagging behind when it comes to helping people quit the unhealthy and addictive habit.

"If the grades on the report card improve, general health will improve. That's how it works," LaCroix said. LaCroix pointed out that one of the reasons the state got a C' in [the report card's] Smoke-free Air category is because Connecticut still has a lot of restrictions on the books — casinos, for example.

"There is no safe level of second-hand smoke," she said. While the state received a decent grade B in the Cigarette Tax category, LaCroix said the ALA is suggesting the cigarette tax in Connecticut be increased by $1 per pack, a move which historically has corresponded with decreased smoking rates.

"In proposing the tax to be increased by a dollar, we're also suggesting some of it be earmarked for cessation and prevention programs," she said, noting that the income generated from the increased tax would raise about $50 million per year for the state. LaCroix urges local residents to contact state legislators as well as the governor to encourage Connecticut to cover smoking cessation treatment and services to Medicaid recipients.

"Increasing tobacco taxes and passing smoke-free workplace laws drive up demand for cessation treatments and services," she said. "It is imperative that our state has a policy in place to help these smokers quit — especially among people on Medicaid, who smoke at a much higher rate than the general public," she said.

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